Spondyloarthritis & psoriatic arthritis

Central Sensitization in Psoriatic Arthritis: Relationship With Composite Measures of Disease Activity, Functional Disability, and Health-Related Quality of Life

J RheumatolPublished Cross-sectional study

Authors' conclusion

Patients with PsA with symptoms of CS had higher disease activity, worse functional ability, and worse QOL. The presence of CS is the major contributor in the impact of disease.

Study context

Population
Adults with PsA without coexisting fibromyalgia (FM)
Participants
157 adults
Outcome
Prevalence of central sensitization (CSI ≥ 40)

Main finding

As reported in the abstract

High probability of central sensitization (CS) (CSI ≥ 40)

Patients scoring CS Inventory (CSI) ≥ 40

45.2%

Observational data: associations, not effects.

Further findings

Correlation of CSI with disease activity, function and quality of life (QOL) (Spearman ρ)

ρ

CSI vs DAPSA
0.587
CSI vs PASDAS
0.573
CSI vs HAQ
0.607
CSI vs SF-36 physical component summary
−0.405
CSI vs SF-36 mental component summary
−0.483

Independent contributors to Psoriatic Arthritis Impact of Disease (PsAID-12) score (multivariate analysis)

CSI score principal independent variable
P < 0.001

Original publication

Central Sensitization in Psoriatic Arthritis: Relationship With Composite Measures of Disease Activity, Functional Disability, and Health-Related Quality of Life. J Rheumatol. Published 15 November 2023. doi:10.3899/jrheum.2023-0177

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